That in turn means it starts to have an impact (even in an indirect sense) which leads the White House to say it's having an impact.

相应地，也就是说Twitter开始发挥作用(即使用一个间接的感官)，这就让白宫表示它正在产生影响。

youdao

This leads to the medical cost being difficult to make up and the indirect fees of administrative being difficult to make a clear distinction.

医院科室核算不全面、不成熟的特点，决定了医疗成本难以得到合理补偿，科室的间接费用难以划清。

youdao

Analysts argue endlessly about what this economic multiplier effect might be, however a very conservative guess would be that each direct job leads to the creation of at least one indirect job (the real number is probably over twice that).

FORBES: Defense Cuts Could Destroy A Million Jobs